Carbohydrates and Diabetes Flashcards

1
Q

Define Monosaccharide, giving 3 examples and where they are found.

A

Simple sugar.

Glucose - fruit, veg, honey
Fructose - fruits, manufactured food
Galatactose - digestion of lactose

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2
Q

Define Disaccharide, giving 3 Examples and where they are found.

A

2 simple sugars linked by glycosidic bond between anomeric hydroxyl of cyclic sugar and hydroxyl of second sugar.

Maltose - malt wheat, barley, beer
Sucrose - most common - table sugar, sugar cane, sweet root veg
Lactose - milk

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3
Q

Define Oligosaccharide.

A

Chain of 3+ monosaccharides linked by glycosidic bonds

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4
Q

Define Polysaccharide and state the predominant mono. and provide other examples

A

Multiple sugars linked by glycosidic bonds.

D-Glucose

starch, glycogen and cellulose

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5
Q

Starch is a Polysaccharide. State where it is Found and the Two Types of Starch.

A

Plant cells

unbranched = amylose α-1,6-D
branches = amylopectin α-1-4-D

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6
Q

Glycogen is a Polysaccharide. State where it is Found and Explain the Features of its Structure.

A

found as a stored carbohydrate in animals

Highly Branched
- surface area for breakdown
Compact from polymer chain coiling
- allows large amount of energy storage

Glycosidic bonds between single chains = a-1,4 link

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7
Q

Where are Carbohydrates Generally Found?

A

in breads, milk, bean, corn

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8
Q

How are Carbohydrates Formed? (think organically)

A

Photosynthesis

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9
Q

Provide the 2 Types of Photosynthesis.

A

Light Dependent
light energy+water ➵ oxygen+ATP+NADPH

Light Independent - Calvin cyle
CO2+ATP+NADPH➵glucose+ADP+Pi+H20+NAP

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10
Q

What are the Functions of Carbs? (5)

A
  • energy storage
  • energy production
  • build macromolecules - DNA, ATP
  • assist in lipid metabolism
  • biosynthesis of amino acids
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11
Q

How is Starch Released, and in which pH?

A

By serous acini in pH 6.7

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12
Q

Give 3 Enzymes used to break down the Main 3 Disaccharides.

A

Maltase
Sucrase
Lactase

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13
Q

How is more Glucose made, if not from Food?

A

gluconeogenesis

  • glycerol is broken down into glucose
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14
Q

What are the Daily Requirements for Carbs?

A

2-5 = 15grams
5-11 = 20grams
11-16= 25grams
16-18 = 30grams

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15
Q

Why Can’t Cellulose be Digested?

A

enzymes can’t hydrolyse the β-1 bonds

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16
Q

3 Places Where Carbohydrates are Digested.

A

in the oral cavity
in the stomach
in the gastro-intestinal tract of the small intestine

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17
Q

Explain the Two Types of Digestion in the Oral Cavity and the end result?

A

Mechanical - by parotid and submandibular gland

Chemical - enzymatic
- salivary α-amylase

end result = broken down into monosaccharides

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18
Q

Explain How Salivary α-Amylase is Secreted in the Oral Cavity, the pH it Works at and the Function.

A
  • by serous acini of parotid and submandibular gland
  • optimum pH = 6.7
  • it hydrolyses α-1,4-linkage from oligo into poly
  • works for 1-2 hrs in the stomach before deactivation by gastric acids
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19
Q

State the 2 Enzymes found in the GIT.

A
  • pancreatic amylase
  • brush border enzymes
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20
Q

What is Pancreatic Amylase Secreted by? Where is it Secreted? What is the Optimum pH and Function?

A
  • secreted by pancreatic exocrine acini into duodenum through pancreatic duct
  • pH = 6.7-7
  • hydrolyse α-1,4-linkage and digests more complex carbohydrates
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21
Q

What is the Function of Microvilli in the Small Intestine?

A

to increase SA, facilitating absorption

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22
Q

How is Galactose and Glucose Absorbed? (4)

for jokes rememberance: The G is SOOO big how can it get through, there

A
  • from intestinal lumen, enters epithelial cell via apical border
  • uses active transport and sodium dependent co-transporters (SGLT1)
  • leaves epithelial cell via basolateral side
  • facilitated diffusion and glucose-cotransporter 2 (GLUT2)

= into blood circulation

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23
Q

How is Fructose Absorbed?

For jokes: F looks like a 5

A
  • from intestinal lumen, enters epithelial cell with GLUT-5
  • binds and changes shape
  • Leave cell - facilitated diffusion and GLUT-2

= into blood circulation

24
Q

What Problems are there With Monosaccharides being Absorbed?

A

the shape makes them polar
= unable to cross the liquid bilayer

solution - need transporter enzymes

25
What Factors Affect the Rate of Monosaccharide Absorption?
slowed down if: - mucosa has inflammation or injury increased if: - thyroid hormones are active - mineralocortoids present e.g. aldosterone - higher sodium concentration - Na/K pump
26
What is Glucagon, Where is it Made, Where it is Stored and its Function.
Hormone secreted by the α cells in the Islets of Langerhans in the pancreas stored in the muscles and liver function = glycogenolysis - to convert glycogen into glucose. - **adrenaline also promotes breakdown**
27
What is Glycogenolysis?
the breakdown of stored glycogen in the liver into glucose by glucagon to release into the blood stream when blood glucose is low
28
What is Insulin, Where is it Made, How is it Made (7) and the Function.
A hormone secreted by the β cells in the Islets of Langerhans in the pancreas How? - translated by RNA - propreinsulin - formed in the RER - packaged into proinsulin - 3 peptide chains = A chain, B chain and C chain - proinsulin moves to transgolgi apparatus - loses C chain, released into blood - A and B join by disulphide bond - insulin exits via exocytosis function = glycogenesis - glucose into glycogen
29
What is Glycogenesis?
the stimulation of GLUT 4 to uptake glucose into glycogen by insulin when blood sugar levels are high
30
What is Insulin Resistance?
When receptors aren't receptive to insulin present in the body
31
What is GLUT 4 and its Relevance to Diabetes.
an insulin regulated transporter responsible for glucose uptake - forms hypoglycaemic drugs in Diabetes Type II - phosphorylate GLUT4 to make it more available and lowering sensitivity to insulin
32
What Happens when there is a Deficiency of Insulin?
leads to extracellular hyperglycaemia, intracellular hypoglycaemia and diabetes mellitus
33
What are the Normal BG Levels?
Fasting = 80-90mg/100ml After a Meal = 120-140mg/100ml
34
What is Diabetes Type I and Type II?
Type I = insulin deficiency - the pancreas doesn't make insulin as the immune system attacks the Islet cells Type II = insulin resistance - pancreas produces more insulin to uptake blood sugar but overtime cells stop responding to insulin, pancreas stops making insulin
35
State Symptoms of Diabetes (8) PKFVWWXY
- pee more with more glucose in the urine - higher loss of ketones - fat breakdown - fatigue - blurred vision - impaired wound healing - unusual weight loss or gain - dry mouth - cells are dehydrated due to hyperosmotic plasma, can lead to hyperglycaemic coma - yeast infections | if something hyper - its high, so where must it all be? not in the cell
36
What are the Macrovascular Complications of Diabetes?
large vessels that are damaged by hyperglycaemia brain - cerebrovascular diseases, stroke, transient ischaemia, cognitive impairment heart - corny syndrome, heart attack, congestive heart failure extremities - diabetic foot, skin ulcer, amputation
37
What are Microvascular Complications of Diabetes? eye, kidney, nerves
Eye - retinopathy, cataracts, glaucoma Kidney - nephropathy, microalbuminuria, renal failure Nerves - neuropathy
38
Relevance of Diabetes to Dentistry (5)
- dry mouth - caries, no saliva - gum and periodontal disease - loss of teeth - impaired and delayed healing - infections
39
What can you do as a Dental Professional (6)
OHI regular check ups antibiotics control blood levels before surgery mouth wash if required - artificial saliva
40
What is the Only Energy Substrate for the Brain?
Glucose
41
What is the mass of one molcules of Glycogen?
10^8 Daltons
42
Which 2 Hormones Promote Breakdown?
Glucagon and Adrenaline in the liver Adrenaline in the muscles
43
The Role of Glycogen Phosphorylase
activates to increases the levels of glucagon and adrenaline in the blood stops cleaving when it gets within 4 units of a branch point
44
What other Enzymes are Required when Glycogen Phosphorylase reaches a Branch Point?
**transferase enzyme** - transfers 3 glucose units from one end to the other end of the chain **amylo-a-1,6-glucosidase** - hydroylses the single glucose unit left behind
45
what is the reaction involving the breakdown of glycogen?
GLYCOGENOLYSIS glycogen + pi = glucose-1-phosphate + glycogen by glycogen phosphorylase G1P:glucose ratio = 8:1
46
How do the Hormone Signals Work?
- adrenaline and glucagon receptors on the cystol - activated - activate adenylate cyclase - catalysed ATP into cAMP = amplification cascade
47
Give 5 Types of Glycogen Storage Diseases FMVAP
Andersen Disease - 1,4-a-glucan glucosidase - affects liver = death in 3 years Forbes' Disease - amyloid-1,6-glucosidase - affects liver, muscle, heart = good prognosis Pompe's Disease - lysosomal a-glucosidase - affects liver, muscle, heart = death in first 6 months McArdle Disease - phosphorylase - affects muscle = normal lifestyle, must avoid exercise Von Glerke's Disease - glucose-6-phosphatase - affects liver, intestine, kidney = if survive hypoglycaemia, prognosis is good, hyperuricaemia is a later complication
48
Define Glycogenesis
glycogen synthesis
49
How do you Obtain Branching Point on Glucagon?
transfer min 6 alpha-1,4-glucose units onto the chain by introducing a a-1,6 linkage Use CBE branching enzyme
50
What if you have a Deficiency of the Branching Enzyme?
leads to Anderson's Disease = liver failure and death in first year of life
51
How Does Insulin Work?
insulin receptors on the cystol activate - activate protein kinase
52
Insulin in the Muscles
- increases no. of membrane glucose transporters - activate glycogen synthesis
53
Insulin in the Liver
doesn't affect the number of membrane glucose transporters - activates glycogen synthesis
54
How much Glycogen can be Stored?
300g - after, glucose entering liver is converted to fat and sent to adipose
55
Define Gluconeogenesis
the synthesis of new glucose made from noncarbohydrate sources in the liver using the precursors lactate, glycerol and amino acids
56
How much energy does Gluconeogenesis use?
4ATP 2GTP 2NADH -16kJ/mol